Your full name *

Full name

Your email address — this is where I'll send next steps if we're a fit *

How old are you? *

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How did you find The Body Guidebook? *

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How long have you been dealing with chronic illness, autoimmune symptoms, or a push-crash cycle? *

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Which of these sounds like your experience? Select all that apply. *

I push through until I crash

I cancel plans more than I want to

I can't predict when I'll feel good or bad

I've been told my symptoms don't make sense

I've tried treatments that work temporarily but don't stick

I feel like my body is working against me

What do you think is missing from the approaches you've already tried? *

On a scale of 1–10, how much is the push-crash cycle affecting your daily life right now? *

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What does a crash cost you? Select all that apply. *

Missing work or income

Canceling plans with people I care about

Days in bed or unable to function

Emotional fallout -- shame, frustration, grief

All of the above

Have you worked with a somatic practitioner, body-based therapist, or coach before? *

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What would it mean for you if the push-crash cycle stopped running your life? *

The Body Guidebook Method asks you to show up for six weeks — weekly group calls, self-paced lessons, and about 10–15 minutes of daily practice. What's your honest read on your capacity for that right now? *

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Is there anything going on right now — a major life event, health crisis, or transition — that might make it hard to be present for a structured program? *

What's your history with investing in your health, wellness, or personal development? Select all that apply. *

I've spent significantly on specialists or bodywork outside of insurance

I've invested in a coaching or group program before

I've invested in courses or educational programs for my own growth

Most of my health spending has been through standard medical care

I haven't invested much beyond basic care

Are you currently in a position to make a meaningful financial investment in your health — something you could genuinely prioritize without causing real hardship? *

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Who else, if anyone, would be part of a decision like this for you? *

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